Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 1160488 | TX |
NPI | 1487981890 |
---|---|
Provider Name | Lee T Kafer |
First Address | Arlington, TX 76004-2541 |
Second Address | Arlington, TX 76013-1762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2009 |
Last Update Date | 05/11/2009 |